Global Bioethics最新文献

Assessment of bioethics education, ethical awareness, and training needs among physicians in Jordan. 评估约旦医生的生物伦理教育、伦理意识和培训需求。

Global Bioethics Pub Date : 2026-09-07 eCollection Date: 2026-01-01 DOI: 10.1080/11287462.2026.2728769

Hisham E Hasan, Omar F Khabour

{"title":"Assessment of bioethics education, ethical awareness, and training needs among physicians in Jordan.","authors":"Hisham E Hasan, Omar F Khabour","doi":"10.1080/11287462.2026.2728769","DOIUrl":"10.1080/11287462.2026.2728769","url":null,"abstract":"Teaching bioethics contributes to promoting sound clinical decisions, but a research gap persists in Jordan regarding the ethical challenges facing physicians and their training requirements. This cross-sectional online survey assessed bioethics education, ethical awareness, perceived competence, and ethical practices among physicians practicing in Jordan. An anonymous questionnaire was distributed using convenience sampling through social media, professional networks, and medical associations. A total of 559 physicians participated. Most respondents were male (59.4%), aged 26-30 years (47.8%), and medical graduates from Jordan (83.5%). Although 64.2% reported at least 3 credit hours of ethics education, only 45.3% reported awareness of the four core bioethical principles. Most participants reported being able to identify ethical issues (83.5%) and to find answers to ethical dilemmas at least sometimes (84.4%). Ethical challenges were most often reported in relation to traditions and values (57.8%), law (53.1%), religion (52.6%), finance (51.7%), and conflict of interest (50.1%). Participants expressed strong interest in additional training, particularly treatment refusal, informed consent, diagnosis/prognosis communication, and end-of-life care. Findings suggest a need for practice-oriented, culturally grounded, and continuing bioethics education that links foundational principles to common clinical dilemmas. Education should develop case-based reasoning, reflective clinical judgment, and communication skills rather than terminology recognition alone.","PeriodicalId":36835,"journal":{"name":"Global Bioethics","volume":"37 1","pages":"2728769"},"PeriodicalIF":0.0,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13552296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Biomedical ethics and regulatory capacity building in Africa: the case study of São Tomé and Príncipe. 非洲生物医学伦理和监管能力建设：<s:1> o tom<e:1>和Príncipe的案例研究。

Global Bioethics Pub Date : 2026-07-22 eCollection Date: 2026-01-01 DOI: 10.1080/11287462.2026.2698145

Jorge P B Batista, Adionilde Aguiar, Vânia Castro, Jeryson Costa, Isaulina Barreto, M Patrão Neves

{"title":"Biomedical ethics and regulatory capacity building in Africa: the case study of São Tomé and Príncipe.","authors":"Jorge P B Batista, Adionilde Aguiar, Vânia Castro, Jeryson Costa, Isaulina Barreto, M Patrão Neves","doi":"10.1080/11287462.2026.2698145","DOIUrl":"10.1080/11287462.2026.2698145","url":null,"abstract":"The Biomedical Ethics and Regulatory Capacity Building for Portuguese Speaking African Countries (BERC-Luso) Project aimed to strengthen biomedical ethics and regulatory capacity in Lusophone African Countries. At the legislative level, it promoted the alignment of national laws with international best practices for biomedical research. At the institutional level, it promoted the establishment and strengthening of National Regulatory Authorities (NRA) and National Ethics Committees (NECs). This project also included professional training to enhance national expertise; however, this article focused primarily on the legislative and institutional developments achieved in São Tomé and Príncipe. It examines how capacity building translated into national regulatory reform. At the project's onset, São Tomé and Príncipe had minimal legislative and institutional frameworks and no specific authorities or legislation in the field. Despite these shortcomings, political commitment and stakeholder engagement enabled major developments. The country established an NEC for scientific research, competent in clinical research oversight and advanced the legal and institutional proposal for an NRA, setting key building blocks for future clinical trials. These advancements underline the transformative potential of capacity-building programs in resource-limited settings. This experience may serve as a model for similar initiatives in countries seeking to strengthen ethical and regulatory frameworks for biomedical research.","PeriodicalId":36835,"journal":{"name":"Global Bioethics","volume":"37 1","pages":"2698145"},"PeriodicalIF":0.0,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13393053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What might Confucius say? Digital doppelgängers for people who are newly dead, dying, or comatose. 孔子会怎么说呢？数字doppelgängers为那些刚刚死亡，垂死或昏迷的人。

Global Bioethics Pub Date : 2026-07-21 eCollection Date: 2026-01-01 DOI: 10.1080/11287462.2026.2699487

Nancy S Jecker, Jing-Bao Nie, Anita Ho

{"title":"What might Confucius say? Digital doppelgängers for people who are newly dead, dying, or comatose.","authors":"Nancy S Jecker, Jing-Bao Nie, Anita Ho","doi":"10.1080/11287462.2026.2699487","DOIUrl":"10.1080/11287462.2026.2699487","url":null,"abstract":"This paper explores what Confucius might say about the use of generative AI-based digital doppelgängers in healthcare for patients who are newly dead, dying, or comatose. We focus on the use of these technologies to support patients' family members, loved ones, and surrogate decision-makers. Since Confucian approaches are largely missing from bioethics discussions of AI-based digital doppelgängers and patient preference predictors, this paper helps to fill an important gap. Section I introduces three cases involving digital doppelgängers representing people who are newly dead, dying, or comatose. Section II considers a Confucian response to the three cases. Section III applies Confucian values to a further situation, where the digital doppelgänger for a comatose patient functions as a patient preference predictor helping with a surrogate decision for a comatose patient. Section IV sets forth ethical benchmarks for using digital doppelgängers in healthcare. Section V recommends proceeding with caution and highlights the importance of further understanding the benefits and risks of using these tools in diverse cultural contexts.","PeriodicalId":36835,"journal":{"name":"Global Bioethics","volume":"37 1","pages":"2699487"},"PeriodicalIF":0.0,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13390177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Protecting affiliation during pandemic crises: a capabilities approach for public health ethical deliberation. 大流行危机期间保护从属关系：公共卫生伦理审议的能力方法。

Global Bioethics Pub Date : 2026-05-07 eCollection Date: 2026-01-01 DOI: 10.1080/11287462.2026.2668171

García-Calderó Gemma, Seaward Helene, Elger Bernice Simone, De Clercq Eva

{"title":"Protecting affiliation during pandemic crises: a capabilities approach for public health ethical deliberation.","authors":"García-Calderó Gemma, Seaward Helene, Elger Bernice Simone, De Clercq Eva","doi":"10.1080/11287462.2026.2668171","DOIUrl":"10.1080/11287462.2026.2668171","url":null,"abstract":"During the COVID-19 pandemic, non-pharmaceutical interventions that affected people's ability to access and maintain social relationships, which philosopher Martha Nussbaum calls \"affiliation\", were implemented. However, the WHO has reported that no measures to actively protect social relationships have been put in place. Furthermore, existing pandemic ethical frameworks do not explicitly specify affiliation protection as a relevant ethical consideration. Subsequently, the main aim of this work is to justify why pandemic public health ethical deliberation should aim at protecting people's capability of affiliation, and to present Nussbaum's \"capabilities approach\" as a suitable theory to support this endeavour. First, we discuss the contributions of the capabilities approach to the ethics of public health, specifically in the context of pandemics. Second, we argue how affiliation informs the core public health ethical principles of respect for individual freedom and equity. This paper provides an original normative account, as (1) it recognises the irreplaceable role of personal relationships, by contrast to other accounts that favour primarily online or non-human interactions, and (2) it builds a conceptual understanding of their role in public health ethics, paving the way for the integration of health and affiliation in future pandemic deliberation.","PeriodicalId":36835,"journal":{"name":"Global Bioethics","volume":"37 1","pages":"2668171"},"PeriodicalIF":0.0,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13159602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reducing carbon emissions in the healthcare sector: a real-time delphi on challenges and enablers. 减少医疗保健行业的碳排放：关于挑战和推动因素的实时德尔福。

Global Bioethics Pub Date : 2026-05-06 eCollection Date: 2026-01-01 DOI: 10.1080/11287462.2026.2668168

Valentina de Maack, Sandy Tubeuf, Nathalie Clavel, Isabelle Ethier, Stephan Williams, Pierre-Marie David, Charles Dupras

{"title":"Reducing carbon emissions in the healthcare sector: a real-time delphi on challenges and enablers.","authors":"Valentina de Maack, Sandy Tubeuf, Nathalie Clavel, Isabelle Ethier, Stephan Williams, Pierre-Marie David, Charles Dupras","doi":"10.1080/11287462.2026.2668168","DOIUrl":"10.1080/11287462.2026.2668168","url":null,"abstract":"Healthcare systems are increasingly committing to climate action, yet efforts to reduce their environmental footprint raise operational challenges. Decarbonization initiatives can generate concerns about cost, patient safety, care quality, and equitable access, revealing tensions that complicate implementation. This study examines how experts assess the impact and feasibility of climate-related interventions in healthcare, identifying key challenges and enablers. Using a Real-time Delphi approach, we consulted 14 specialists with ethics, sustainability, biomedical sciences, and public health backgrounds, who evaluated the relevance and applicability of five social tipping elements within the healthcare context. Interventions targeting energy systems and infrastructure were viewed as potentially high-impact but limited by regulatory complexity, infrastructural constraints, and ethical concerns. In contrast, strategies centered on education and shifts in values were perceived as more feasible, though questions about operationalization remain. Experts also noted potential issues, such as patient mistrust or clinician disengagement, if environmental goals are seen as misaligned with core commitments of healthcare practice. Overall, these findings underscore the need for inclusive, ethically robust, evidence-informed, and context-sensitive strategies that integrate sustainability goals with patient, professional, and institutional priorities. Improving access to environmental impact data and supporting shared decision-making emerged as key enablers for fostering acceptable ecological transitions in healthcare.","PeriodicalId":36835,"journal":{"name":"Global Bioethics","volume":"37 1","pages":"2668168"},"PeriodicalIF":0.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13151770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ethical considerations in the clinical application of prediction tools for severe mental disorders: perspectives from child and adolescent psychiatrists. 严重精神障碍预测工具临床应用中的伦理考虑：来自儿童和青少年精神病学家的观点。

Global Bioethics Pub Date : 2026-03-25 eCollection Date: 2026-01-01 DOI: 10.1080/11287462.2026.2648374

Ivars Neiders, Jekaterina Kalēja, Ilze Mileiko, Inese Poļaka, Signe Mežinska

{"title":"Ethical considerations in the clinical application of prediction tools for severe mental disorders: perspectives from child and adolescent psychiatrists.","authors":"Ivars Neiders, Jekaterina Kalēja, Ilze Mileiko, Inese Poļaka, Signe Mežinska","doi":"10.1080/11287462.2026.2648374","DOIUrl":"10.1080/11287462.2026.2648374","url":null,"abstract":"The ability to predict the risk of severe mental disorders holds considerable promise for individuals at risk, potentially enabling prevention and early intervention. Although the clinical application of such predictive models in child and adolescent psychiatry remains a future prospect, it is essential to consider their social and ethical implications that their use may entail. This study explores child and adolescent psychiatrists' views on these issues through a cross-sectional online survey distributed to members of the European Society for Child and Adolescent Psychiatry. Of the 81 respondents, the majority identified the most significant benefits of using prediction tools as enabling earlier intervention by healthcare professionals (81.5%), improving the quality of care (77.8%), and helping families enhance their resilience (63%). Participants also expressed concern about potential harms, particularly violations of privacy (74.1%), discrimination (92.6%), and the lack of explainability in Artificial Intelligence algorithms (74.1%). While most participants recognise potential medical benefits in the clinical use of predictive tools, numerous concerns must be addressed before such technologies can be considered viable. These include unresolved ethical challenges, such as risks related to privacy, potential of stigmatisation and discrimination, and algorithmic opacity, as well as limitations of healthcare systems.","PeriodicalId":36835,"journal":{"name":"Global Bioethics","volume":"37 1","pages":"2648374"},"PeriodicalIF":0.0,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13022997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bioethics for a burning planet: why Planetary Health and One Health might not be the way to go. 燃烧的星球的生物伦理学：为什么行星健康和一个健康可能不是出路。

Global Bioethics Pub Date : 2025-12-08 eCollection Date: 2025-01-01 DOI: 10.1080/11287462.2025.2593723

Katharina Wabnitz, Bridget Pratt, Cristian Timmermann, Verina Wild

{"title":"Bioethics for a burning planet: why Planetary Health and One Health might not be the way to go.","authors":"Katharina Wabnitz, Bridget Pratt, Cristian Timmermann, Verina Wild","doi":"10.1080/11287462.2025.2593723","DOIUrl":"10.1080/11287462.2025.2593723","url":null,"abstract":"Climate change, ecological degradation and global inequalities are symptoms of an eco-social polycrisis that threatens global health and health equity. This polycrisis is deeply rooted in Western value systems. These can be described as anthropocentric and individualistic and support the prevailing neoliberal economic model. Bioethics is now called to respond to the urgent health-related ethical challenges of the polycrisis and has recently begun to engage with Planetary Health and One Health in this regard. Both have mainly emerged in the Western scientific community and understand human health to be inextricably linked to the state of environmental and structural societal determinants. We argue that bioethics should indeed embrace holistic or integrated understandings of health but also carefully revisit the foundational Western value systems at the root of the polycrisis. If Planetary Health and One Health stay grounded in Western value systems, an extensive conceptual engagement might be problematic for bioethics. Instead of turning to Western concepts of health, bioethics should engage deeply with Indigenous and non-Western ways of knowing and critically reflect on its own role in inadvertently maintaining the status quo.","PeriodicalId":36835,"journal":{"name":"Global Bioethics","volume":"36 1","pages":"2593723"},"PeriodicalIF":0.0,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12687894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145726563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A minimal One Health approach? Lessons from the salmon aquaculture crisis in Chile. 一个最小的健康方法？智利鲑鱼养殖危机的教训。

Global Bioethics Pub Date : 2025-12-04 eCollection Date: 2025-01-01 DOI: 10.1080/11287462.2025.2593707

Bernardo Aguilera, Juan Alberto Lecaros, Jorge Olivares-Pacheco

{"title":"A minimal One Health approach? Lessons from the salmon aquaculture crisis in Chile.","authors":"Bernardo Aguilera, Juan Alberto Lecaros, Jorge Olivares-Pacheco","doi":"10.1080/11287462.2025.2593707","DOIUrl":"10.1080/11287462.2025.2593707","url":null,"abstract":"This paper explores the application of the One Health approach through an analysis of the response to the 2007 crisis in Chile's salmon aquaculture industry. To evaluate the extent to which the case aligns with a \"minimal\" One Health framework, we draw on four key dimensions of this framework (methodological, epistemic, ontological, and ethical) and contrast the case with the response to the 2009 Q fever outbreak in the Netherlands. We conclude that the Dutch response to Q fever, characterized by limited institutional collaboration, a narrow disciplinary focus, and an anthropocentric ethical stance, fell short of even a minimal One Health approach. In contrast, the response by the Aquaculture Health Management Program (PGSA) to Chile's salmon aquaculture crisis represents a more integrated approach, involving multisectoral collaboration, interdisciplinary dialogue, and concern for animal and environmental health. While the Chilean case does not fully achieve a strong One Health model, it demonstrates the practical benefits of adopting a minimal One Health perspective, including reduced antibiotic use and improved disease control. The paper concludes that One Health should be understood as a flexible, problem-solving framework, and that clarity regarding its core dimensions is essential for strengthening One Health approaches.","PeriodicalId":36835,"journal":{"name":"Global Bioethics","volume":"36 1","pages":"2593707"},"PeriodicalIF":0.0,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12679841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Navigating ethical challenges in digital transformation: insights on climate adaptation, microbiology, healthcare, robotics, and AI under the EU AI act: an experts panel discussion. 应对数字化转型中的伦理挑战：欧盟人工智能法案下对气候适应、微生物学、医疗保健、机器人和人工智能的见解：专家小组讨论。

Global Bioethics Pub Date : 2025-09-03 eCollection Date: 2025-01-01 DOI: 10.1080/11287462.2025.2550823

Saeed M Alghamdi, Okpala Charles Chikwendu, Okafor Ugochukwu Chukwuma, Daniel Otieno Okech, Modestus O Okwu, Samina Khalid, Aggeliki Vlachostergiou

{"title":"Navigating ethical challenges in digital transformation: insights on climate adaptation, microbiology, healthcare, robotics, and AI under the EU AI act: an experts panel discussion.","authors":"Saeed M Alghamdi, Okpala Charles Chikwendu, Okafor Ugochukwu Chukwuma, Daniel Otieno Okech, Modestus O Okwu, Samina Khalid, Aggeliki Vlachostergiou","doi":"10.1080/11287462.2025.2550823","DOIUrl":"10.1080/11287462.2025.2550823","url":null,"abstract":"The ethical complexities of technological advancement are growing as fields such as climate adaptation, microbiology, healthcare, robotics, and artificial intelligence (AI) evolve rapidly. While these technologies offer innovative solutions to global challenges, they raise significant ethical concerns. In climate adaptation, AI-driven models and remote sensing technologies prompt questions about data privacy, environmental justice, and equitable access, especially for vulnerable populations. Similarly, advancements in microbiology and healthcare, such as genetic research and digital health tools, present ethical dilemmas related to informed consent, data security, and the exploitation of marginalized communities. In robotics and AI, ethical concerns are heightened due to their potential to automate decision-making, affect employment, and infringe on personal freedoms. The influence of AI in healthcare, law enforcement, and public services highlights the urgent need for ethical oversight to prevent bias and protect human rights. The EU AI Act addresses these challenges by categorizing AI systems by risk and setting stringent guidelines for high-risk applications, especially in sensitive sectors like healthcare. This article emphasizes the importance of balancing innovation with ethical responsibility, advocating for comprehensive regulatory frameworks, interdisciplinary collaboration, and global cooperation to ensure that technological advancements align with ethical standards and societal values.","PeriodicalId":36835,"journal":{"name":"Global Bioethics","volume":"36 1","pages":"2550823"},"PeriodicalIF":0.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How can the ethical conduct of verbal autopsies be enhanced? Lessons from Southeast Asia. 如何加强口头尸检的道德操守？东南亚的经验教训。

Global Bioethics Pub Date : 2025-09-02 eCollection Date: 2025-01-01 DOI: 10.1080/11287462.2025.2550810

Nan Shwe Nwe Htun, Bipin Adhikari, Aung Pyae Phyo, Carlo Perrone, Koukeo Phommasone, Nawrin Kabir, Moul Vanna, Yoel Lubell, Thomas J Peto

{"title":"How can the ethical conduct of verbal autopsies be enhanced? Lessons from Southeast Asia.","authors":"Nan Shwe Nwe Htun, Bipin Adhikari, Aung Pyae Phyo, Carlo Perrone, Koukeo Phommasone, Nawrin Kabir, Moul Vanna, Yoel Lubell, Thomas J Peto","doi":"10.1080/11287462.2025.2550810","DOIUrl":"10.1080/11287462.2025.2550810","url":null,"abstract":"Verbal autopsy research is vital for understanding community mortality, informing health interventions and policies in low- and middle-income countries. However, overlooking the community perspectives on deaths can undermine the ethical conduct and effectiveness of such research. This study explored community-based concepts of death, interpretations, and coping mechanisms in five Southeast Asian countries, with this manuscript highlighting key findings from the body mapping exercise that revealed diverse cultural and religious understandings on death. Participants' views ranged from seeing death as a cessation to life's struggles to an inevitable end, reflecting deep cultural and spiritual beliefs. Coping mechanisms, often grounded in religious practice and community support, played a crucial role in managing grief. The study also underscores the importance of addressing emotional well-being for both participants and researchers. Recommendations include integrating mental health support into research protocols and tailoring practices to local cultural contexts. These findings inform the design of more ethically grounded verbal autopsy tools and procedures that are sensitive to local beliefs and emotional dynamics, ultimately improving data quality and community trust.","PeriodicalId":36835,"journal":{"name":"Global Bioethics","volume":"36 1","pages":"2550810"},"PeriodicalIF":0.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0